Application of Three Dimensional-Printed Polycaprolactone Nasal Mesh With the Figure of 8 Anchoring Suture Technique for Correction of Caudal Septal Subluxation
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Background and Objectives We evaluated the symptom improvement, surgical outcomesand post-operative complications of the figure of 8 anchoring suture technique using polycaprolactone(PCL) nasal mesh for the treatment of caudal septal subluxation. Subjects and Method We conducted a retrospective study of patients who underwent betweenMarch 2020 and March 2021 endonasal septoplasty using the figure of 8 anchoring suturetechnique and a PCL nasal mesh as a protective supporting graft. Fourteen patients weredivided into two groups, the allergic and non-allergic rhinitis group. Symptom improvementswere assessed using the Nasal Obstruction Symptoms Evaluation (NOSE) scores and visualanalog scale (VAS) scores for epistaxis and headache. Post-operative patient-reported subjectivechanges in nasal obstruction were also recorded. All evaluations were conducted one tofour months post-operatively. Results Post-operative endoscopic examination revealed that all patients had their septumstraightened. The mean post-operative NOSE scores in overall and each item were significantlylower than the mean NOSE scores in the pre-operative period (p<0.05). The mean post-operativeNOSE scores for patients both with and without allergic rhinitis were also significantlydecreased compared to those in the pre-operative period (p<0.05). A decrease in VAS scoreswas significant (p=0.008) for headache but not for epistaxis (p=0.141). All patients reportedimprovement of subjective nasal obstruction post-operatively. Conclusion The use of figure of 8 anchoring suture technique with a PCL nasal mesh as aprotective and supportive graft was proven to be a successful method for correcting caudalseptal subluxation.
Abstract
Background and Objectives We evaluated the symptom improvement, surgical outcomesand post-operative complications of the figure of 8 anchoring suture technique using polycaprolactone(PCL) nasal mesh for the treatment of caudal septal subluxation. Subjects and Method We conducted a retrospective study of patients who underwent betweenMarch 2020 and March 2021 endonasal septoplasty using the figure of 8 anchoring suturetechnique and a PCL nasal mesh as a protective supporting graft. Fourteen patients weredivided into two groups, the allergic and non-allergic rhinitis group. Symptom improvementswere assessed using the Nasal Obstruction Symptoms Evaluation (NOSE) scores and visualanalog scale (VAS) scores for epistaxis and headache. Post-operative patient-reported subjectivechanges in nasal obstruction were also recorded. All evaluations were conducted one tofour months post-operatively. Results Post-operative endoscopic examination revealed that all patients had their septumstraightened. The mean post-operative NOSE scores in overall and each item were significantlylower than the mean NOSE scores in the pre-operative period (p<0.05). The mean post-operativeNOSE scores for patients both with and without allergic rhinitis were also significantlydecreased compared to those in the pre-operative period (p<0.05). A decrease in VAS scoreswas significant (p=0.008) for headache but not for epistaxis (p=0.141). All patients reportedimprovement of subjective nasal obstruction post-operatively. Conclusion The use of figure of 8 anchoring suture technique with a PCL nasal mesh as aprotective and supportive graft was proven to be a successful method for correcting caudalseptal subluxation.
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